- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,062.50 / $19,167.09 / $23,143.80
| Facility | | $10,062.50 | $19,167.09 | $23,143.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $17,307.50 / $29,708.53
| Facility | | $6,916.00 | $17,307.50 | $29,708.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,566.74 / $16,537.50 / $20,078.58
| Facility | | $14,566.74 | $16,537.50 | $20,078.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,169.71 / $14,648.70 / $19,531.59
| Facility | | $10,169.71 | $14,648.70 | $19,531.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,291.20 / $17,715.38 / $26,532.34
| Facility | | $10,291.20 | $17,715.38 | $26,532.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,341.91 / $15,719.85 / $20,249.50
| Facility | | $11,341.91 | $15,719.85 | $20,249.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,781.22 / $22,733.20
| Facility | | $3,775.00 | $15,781.22 | $22,733.20 |